Individual
MS. ELENA MALEVANAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. MHC
Contact information
Practice address
8100 SHORE FRONT PKWY APT 8F, ROCKAWAY BEACH, NY 11693-2116
(347) 840-0546
Mailing address
8100 SHORE FRONT PKWY APT 8F, ROCKAWAY BEACH, NY 11693-2116
(347) 840-0546
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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